| Carl Anthony Wardlaw, LPC | |
|
508 Donovan St, Vidalia, GA 30474-3149 | |
| (912) 537-9280 | |
| (912) 537-6289 |
| Full Name | Carl Anthony Wardlaw |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 508 Donovan St, Vidalia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326360462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC005881 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Anthony Wardlaw, LPC Po Box 178, Vidalia, GA 30475-0178 Ph: (912) 537-9280 | Carl Anthony Wardlaw, LPC 508 Donovan St, Vidalia, GA 30474-3149 Ph: (912) 537-9280 |
Mrs. Deborah Ward, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Durden St, Vidalia, GA 30474 Phone: 478-494-2314 Fax: 912-538-8186 | |
Clifford Hamilton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2270 Ga Highway 130 W, Vidalia, GA 30474 Phone: 478-290-8710 Fax: 912-805-5241 | |
Sarah B Kitchens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 E 2nd St, Vidalia, GA 30474 Phone: 912-535-2128 Fax: 866-527-5349 | |
Taylor Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-1414 | |
Mrs. Leigh-anne White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Durden St, Vidalia, GA 30474 Phone: 912-585-5209 | |
Ms. Shelley Tashina Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Arlington Dr, Vidalia, GA 30474 Phone: 912-850-6526 |